Direct support professional training in Nebraska is governed by the Department of Health and Human Services through its Division of Developmental Disabilities (DDD), under Title 404 of the Nebraska Administrative Code. The controlling training provision, 404 NAC 4-003.03, applies to staff of certified DD providers delivering waiver and related services.

Nebraska's mandate is phased. Before working alone, staff must complete orientation covering choice, individual rights, confidentiality, dignity, the Individual Support Plan (ISP) and individual protocols, and abuse/neglect/exploitation including the legal reporting requirements. Within 30 days comes the emergency block: emergency procedures, CPR with an in-person skills evaluation, First Aid, and infection control. Within 180 days, staff complete the implementation phase — ISP implementation, positive behavior supports, Division-approved emergency safety intervention (ESI) techniques, habilitation strategies, and adaptive equipment/devices. Staff supporting individuals with risk endorsements require clinician-led training.

Ongoing obligations center on keeping those competencies current, with abuse/neglect/exploitation training maintained annually from an approved source. Nebraska publishes an approved-source list for ANE training — including a free DHHS-developed PDF, commercial platforms, and agency-developed curricula — and providers literally "choose one." In August 2026 the Division approved Training and eTracking Solutions as an ANE training source for both independent providers and agencies: our dedicated Nebraska module covers the Adult Protective Services Act and Child Protection and Family Safety Act, mandatory reporting duties and the reasonable-cause standard, the DHHS hotline and online reporting portal, the Central Registry and provider employment checks, and the penalty and good-faith immunity provisions, with a scored assessment and per-learner completion certificates that match the Division's verification requirement.

Two items are gated. Medication runs through the Nebraska Medication Aide Act and its registry: the 40-hour medication aide course applies in ICF/DD settings, while community-based services use competency-based routes under the Act. Emergency safety intervention is currently the state's one true vendor lock: DDD Bulletin 24-01 designates the Mandt System as the exclusive approved ESI curriculum — a designation now being challenged in court in Integrated Life Choices v. Nebraska DHHS (filed August 2025, pending). Providers should watch that litigation, because its outcome may reopen ESI to multiple curricula.

Delivery model: outside the ESI lock and medication-aide mechanics, Nebraska's core DSP training is an open market. There is no statewide platform mandate and no single required vendor — a persistent belief that "Nebraska requires Relias" is simply false. Relias is one of 17 approved ANE options, nothing more; agencies may build their own training or buy from any source that covers the 404 NAC topics, and may seek DDD acceptance to add a vendor's ANE course to the approved list.

Training and eTracking Solutions provides online DSP training built for Nebraska's requirements — courses mapped to the 404 NAC 4-003.03 orientation, 30-day, and 180-day topic blocks, automatic tracking of each phase deadline, and documentation that stands up in DDD certification reviews. TeTS handles the open core and annual maintenance while your agency schedules the two gated items — Division-approved ESI and medication-aide requirements — alongside it, with every completion tracked in one place.